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Individual

JAMES HALLAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD/MBA

Contact information

Practice address
800 ROSE ST PAVILLION H, LEXINGTON, KY 40536-0001
(859) 323-5000
Mailing address
2225 SONOMA PL, LEXINGTON, KY 40511-2271
(248) 703-7345

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
I13119
KY
Enumeration date
03/30/2020
Last updated
03/30/2020
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